| NPI | 1851970024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 116035862) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD224356) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2025-07-10 |